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      <h1 class="title_color padding-10">区域经销商调整申请</h1>
    </div>
    <!-- 标题 -->
    <div class="row-margin-top">
    <form action=""  class="form-inline">
       <table class="table-bordered table t_table text-center">
           <tr>
            <td style="min-width: 180px;width: 180px"><label for="" class="form-label" >编号</label></td>
            <td class="text-left"></td>
             <td style="min-width: 180px;width: 180px"><label for="" class="form-label" >状态</label></td>
            <td class="text-left">草稿</td>
             <td style="min-width: 180px;width: 180px"><label for="" class="form-label" >申请时间</label></td>
            <td class="text-left">2017-11-20</td>
           </tr>
            <tr>
            <td style="min-width: 180px;width: 180px"><label for="" >申请人</label></td>
            <td class="text-left">测试经理</td>
             <td style="min-width: 180px;width: 180px"><label for="" >联系电话<span class="colorRed">*</span></label></td>
            <td class="text-left" colspan="3"><input type="text" value="1334928927" class="form-control" name=""></td>
           
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            <tr>
            <th class="font-bold info" colspan="3">一、计划调整区域<span class="colorRed">*</span></th>
            </tr>
            <tr>
              <td style="min-width: 180px;width: 180px" rowspan="3"><label for="" >调整区域<span class="colorRed">*</span></label></td>
              <td style="min-width: 100px;width: 100px">分区</td>
              <td><input type="text" class="form-control" style="min-width: 320px;width: 320px" name=""><a href="javascript:;" class="changeModel">选择</a></td>
            </tr>
            <tr>
               <td style="min-width: 100px;width: 100px">省</td>
              <td><input type="text" class="form-control" style="min-width: 320px;width: 320px" name=""><a href="javascript:;" class="changeModel">选择</a></td>
            </tr>
             <tr>
               <td style="min-width: 100px;width: 100px">市</td>
              <td><input type="text" class="form-control" style="min-width: 320px;width: 320px" name=""><a href="javascript:;" class="changeModel">选择</a></td>
            </tr>
            <tr>
              <td colspan="3">
                   <div class="form-group">
                       <label class="radio-inline">
                    调整区域是否空白区域
                  <input type="radio" name="inlineRadioOptions2" id="inlineRadio11" value="option11">
            </label>
             <label class="radio-inline">
                  【无经销商(完全空白)】
                  <input type="radio" name="inlineRadioOptions2" id="inlineRadio21" value="option21">
            </label>
               <label class="radio-inline">
                  【有经销商但实际空白】
                  <input type="radio" name="inlineRadioOptions2" id="inlineRadio12" value="option12">
            </label>
             <label class="radio-inline">
                  【有经销商经营需调整】
                  <input type="radio" name="inlineRadioOptions2" id="inlineRadio22" value="option21">
            </label>
                   </div><br>
                   <div class="form-group" style="padding: 4px;margin-left: 20px">
                    <input type="text" class="form-control" style="min-width: 420px;width: 420px"><a href="javascript:;" class="changeModel">选择</a>
                  </div>
              </td>
            </tr>
            <tr>
              <td colspan="3">
                  <label for="" class="form-label">自动生成名称：</label><input type="text" class="form-control" style="min-width: 320px;width: 320px" readonly>(由系统自动生成报告名称)
                  
              </td>
            </tr>
           </table>
           <table class="table-bordered table t_table text-left">
            <tr>
              <th class="info font-bold"><label for="" class="form-label">二、该区域调整原因<span class="colorRed">*</span></label></th>
            </tr>
             <tr>
            <td class="text-left">
               <div class="ibox float-e-margins" style="margin-bottom: 0">
                    <div class="ibox-content no-padding">

                        <div class="summernote">
                           
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            </td>
           </tr>
        </table>
        <table class="table-bordered table t_table text-left">
            <tr>
              <th class="info font-bold"><label for="" class="form-label">三、该地区计划调整的时间<span class="colorRed">*</span></label></th>
            </tr>
             <tr>
            <td class="text-left">
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              <th class="info font-bold"><label for="" class="form-label">四、该地区规划方案<span class="colorRed">*</span></label></th>
            </tr>
             <tr>
            <td class="text-left">
               <div class="ibox float-e-margins" style="margin-bottom: 0">
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          <table class="table-bordered table t_table text-left">
            <tr>
              <th class="info font-bold"><label for="" class="form-label">五、原有经销商的转场问题如何解决？<span class="colorRed">*</span></label></th>
            </tr>
             <tr>
            <td class="text-left">
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              <th class="info font-bold"><label for="" class="form-label">六、原有经销商的库存问题如何解决？<span class="colorRed">*</span></label></th>
            </tr>
             <tr>
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              <th class="info font-bold"><label for="" class="form-label">七、原有经销商的其他遗留问题如何解决？<span class="colorRed">*</span></label></th>
            </tr>
             <tr>
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